Individual provider · Type 1 NPI

Tyheasha Smith

Licensed Practical Nurse · Olympia, WA

NPI number 1104548171 Active

Practice location

6700 Martin Way E Ste 117
Olympia, WA 98516-5586

Call (360) 413-6910 Map

Mailing address

6027 S Oakes St
Tacoma, WA 98409-6115

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X61005585 (SC)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1104548171

Tyheasha Smith's National Provider Identifier is 1104548171, issued on Sep 15, 2022. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Olympia, WA. The record was last updated on Sep 15, 2022.